Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $28,840.32 / $48,977.88	Facility		$100.00	$28,840.32	$48,977.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $100.00 / $114.82	Professional		$95.50	$100.00	$114.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,548.13 / $4,265.80	Facility		$3,162.28	$3,548.13	$4,265.80
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $120.23 / $125.89	Facility		$79.43	$120.23	$125.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Facility		$102.33	$102.33	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Professional		$102.33	$102.33	$102.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Facility		$363.08	$363.08	$363.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Professional		$549.54	$549.54	$549.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $120.23 / $208.93	Facility		$97.72	$120.23	$208.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $102.33 / $223.87	Professional		$95.50	$102.33	$223.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $32.36 / $50.12	Professional		$30.20	$32.36	$50.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $120.23 / $223.87	Facility		$97.72	$120.23	$223.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $114.82 / $125.89	Professional		$109.65	$114.82	$125.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $125.89 / $125.89	Professional		$120.23	$125.89	$125.89